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Decreased sound tolerance in autism: understanding and distinguishing between hyperacusis, misophonia, and phonophobia

Decreased sound tolerance (DST) affects a significant proportion of autistic people throughout their lifetime and, as Zachary J Williams explains, it is important that clinicians are aware of the three distinct subtypes of DST when making a diagnosis. Autism spectrum...

Subjective tinnitus – adding mutebutton™ to your tinnitus toolbox

Neurophysiologic tinnitus or subjective tinnitus is typically a sound or a number of sounds that originate from the auditory nervous system. They are unwanted sounds that do not exist in the external environment. They can be heard in one or...

The impact of simulation on ENT training

Surgical training is constantly developing to improve ENT surgeons’ technical and non-technical skills. In this article, Joshua Whittaker, an ENT Registrar and ENT Simulation Fellow at University Hospitals Birmingham, describes the rise of simulation training. Simulation is the recreation of...

Obstructive sleep apnoea in common vestibular disorders

The importance of getting a good night’s sleep is often acknowledged but may be particularly difficult to achieve for those with obstructive sleep apnoea (OSA). In addition to high blood pressure, increased risk of stroke and depression, balance problems may...

9th International Pediatric Audiology Conference

A Sound Foundation Through Early Amplification This conference will be held in-person in San Diego, California, with live stream available for online participation. Sponsored by Phonak, the conference is chaired by Professor Anne Marie Tharpe and Dr Marlene Bagatto. The...

XI IAPO Manual of Pediatric Otorhinolaryngology

The XI IAPO Manual of Pediatric Otorhinolaryngology is a very useful resource for all practitioners working in an ENT-related field that wish to be kept informed of the latest research and development in paediatric ENT. This is published by the...

Aboriginal and Torres Strait Islander ear health in the 2020s

The world is in the midst of a pandemic, and global health is severely threatened by this novel coronavirus which has caused over three million infections of COVID-19 and claimed more than 228,000 lives to date*. Societies and health systems...

Getting your nose dry: endoscopic vidian neurectomy – an old technique given new life

We are often faced with patients with intractable watery rhinorhea – patients with no demonstrable allergy, a diagnosis of NAR and no response to ipratropium or capsaicine. For such patients, vidian neurectomy has been devised – an old technique that...

Diagnosing and managing somatic tinnitus

Interactions between auditory and somatosensory pathways can lead to interesting tinnitus experiences which can be very bothersome. Dr Sarah Michiels describes her pioneering work in this area, and the possibilities of physiotherapy based therapy. Background Somatic (also called somatosensory) tinnitus...

Manual of Paediatric Balance Disorders

There is a lot of literature available describing the pathophysiology and causes of balance disorders in adults. However, balance disorders in children are not as well understood and this is reflected in the relative dearth of literature. The standard reference...

Collaborating with patients on research priorities in hyperacusis: the James Lind Alliance project

An innovative and inclusive approach to the identification and prioritisation of research questions is to place the views of patients at the heart of the process, and in partnership with clinicians. The application of this to hyperacusis is described by...

Better conversations for children with Autism and peers for now and for their futures

There are around 700,000 people with diagnosed Autism Spectrum Disorder (ASD) in the UK, according to 2011 census figures. A key diagnostic feature in ASD are difficulties in social interactions and conversations, social-emotional responses and relationships. The authors of this...